MS Family Physician Journal - Summer 2018

An Official Publication of the Mississippi Academy of Family Physicians | Volume 54, No. 1 | Summer 2018 | www.msafp.org

Annual Meeting Preview and Tips on Physician Wellness page 22-23

Volume 54, No. 1 | Summer 2018 | For Every Family, A Family Physician executive committee

Katherine T. Patterson, MD, FAAFP president

David B. Wheat, MD, FAAFP president-elect William M. Grantham, MD vice president

James W. Griffin, MD

In this issue...

Academy MAFP Membership Stronger Than Ever............................................................................................................4 Family Physicians Doing Well..............................................................................................................................5 MAFP Loses Past Physician of the Year..............................................................................................................5

secretary

Executive Director’s Report..................................................................................................................................6

William E. Loper III, MD, FAAFP

Know Your Board: Dr. Paul Pavlov.....................................................................................................................7

treasurer

Welcome New MAFP Members..........................................................................................................................7

Sue H. Simmons, MD immediate past president aafp delegates

Timothy J. Alford, MD, FAAFP Lucius M. Lampton, MD, FAAFP aafp alternate delegates

Advocacy Family Medicine Takes Center Stage at Capitol.................................................................................................8 Legislative Session a Win for Family Medicine................................................................................................10 Mississippi Family Docs Attend Washington, DC, Summit...........................................................................11 MAFP Advocating for Family Medicine...........................................................................................................11

John R. Mitchell, MD, FAAFP Susan A. Chiarito, MD, FAAFP

Collaborative Agreements...................................................................................................................................11

directors

New Opioid Prescribing Rules...........................................................................................................................13

Paul M. Pavlov, MD - District 1 Chrystal A. Sumrall, MD, FAAFP District 2 J. Lee Valentine, DO - District 3 Scott A. Carlton, MD - District 4 John P. Vanderloo, MD - District 5 Carlos A. Latorre, MD - District 6 T. Bruce Longest, MD - District 7 Christopher L. Park, DO - District 8 Christy B. Vowell, MD - At Large P. Brent Smith, MD, MSC, FAAFP At Large mafp staff

Beth Embry executive director

beth@msafp.org Claire Rome membership director

claire@msafp.org Kristen Kern public awareness director

Physician Advocates for Kids’ Checkups...........................................................................................................11

Workforce Future Docs Attend Spring Fling.......................................................................................................................14 Two Student Externships at UMMC Funded...................................................................................................15 Population Health: Making the Invisible, Visible.............................................................................................16 More Than Medicine, I Chose Family Medicine..............................................................................................16 Welcome to Our Family......................................................................................................................................17 Residents, Students Elect Board Reps................................................................................................................18 Cody, Santpurkar Represent Mississippi at Osteopathic Conference............................................................18

Professional Development Physicians Represent You at ACLF/NCCL.......................................................................................................19 Spring Conference Sees Attendance Spike........................................................................................................20 Be Well, Do Well: Physician Wellness..............................................................................................................22

Public Awareness Dr. Ozborn Honored as Country Doctor of the Year......................................................................................24 MAFP Dedicates Hill Conference Room...........................................................................................................25 Dr. Smith Awarded for Humanitarianism.........................................................................................................25 Mississippi Ranks Low in HPV Vaccination Rates..........................................................................................26

kristen@msafp.org

Dr. Williams Earns Crawford Scholarship........................................................................................................28

mafp foundation staff

Foundation Awards Scholarships to High Schoolers.......................................................................................28

Kay-Lynn Meador & workforce director kaylynn@msafp.org

foundation

Jewell Buckley special projects coordinator

jewell@msafp.org

Mississippi Academy of Family Physicians 755 Avignon Drive · Ridgeland, Mississippi 39157 · p 601-853-3302 · f 601-853-3002 · www.msafp.org

The Mississippi Family Physician has a circulation of 1,000 Mississippi physicians, residents and medical students.

Manuscripts are encouraged for publication. The Editorial Board reserves the right to accept or reject any articles or advertising matter. Opinions expressed in articles or advertisements are solely those of the authors or sponsors and do not necessarily reflect the opinion of the Mississippi Academy of Family Physicians.

To submit an article, please e-mail kristen@msafp.org or fax to 601-853-3002. the mississippi family physician

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Academy

MAFP Earns Membership Awards

Congratulations to MAFP! Mississippi had the second-highest 2017 membership retention rate of all states, AAFP announced in February. In 2017, more than 97% of AAFP members living in Mississippi continued their membership, and at present, our membership numbers are up 6.4% when comparing May 2017 to May 2018.

“Your hard work and perseverance really paid off!” said Marci McNeal, AAFP chapter relations strategist. She said Mississippi is in the top 5 chapters nationally for growth.

These numbers represent the efforts of many. MAFP officers and staff made phone calls last spring to unpaid members reminding them to re-join. The Academy Committee and its chair, Dr. David Wheat of Clinton, were also very focused on membership retention this year.

In Kansas City this April, MAFP officers and delegates were presented with four different AAFP membership awards at a luncheon recognizing excellence in membership recruitment and retention.

Competing with other state chapters who are similar in membership numbers, MAFP received the following:

MAFP Membership Awards Won, 2017

• 1st place in percent increase in student membership • Recognition for 100 percent resident membership • 2nd place for active membership retention percentage • 2nd place for new physician retention percentage

Student Membership Soars

MAFP’s membership from Mississippi’s two medical schools almost doubled from 2017 to 2018, proving that MAFP’s recent student recruitment efforts have paid dividends.

Student membership from University of Mississippi Medical Center rose from 158 in April 2017 to 315 in April 2018, an increase of 99%. Student membership from William Carey University COM rose 90%, from 54 in April 2017 to 102 in April 2018.

There is no charge for medical students to join AAFP/MAFP. Students simply complete and return a membership application.

The most significant factor behind the increase is the involvement of four student board members elected a year ago. Each

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student was asked to be an ambassador for family medicine and MAFP on their campus, and the students came through big-time, actively recruiting fellow students and promoting our activities within their networks and on social media. These members included WCUCOM student Terry Moran and UMMC students Craig Bullock, Will Casey and Caleb Zumbro.

“It makes me happy to see such a significant increase,” Moran said. “Those students are the ones who will fill the primary care physician shortage in our state.”

Bullock agreed. “I believe this growth is the result of much cultivation and hard work by the MAFP, the UMMC Family Medicine Department and the students of the Family Medicine Interest Group. I hope this trend will continue.”

MAFP staff member Kay-Lynn Meador,

Foundation and Workforce Director, also worked hard to increase student membership by recruiting members at both medical schools. At UMMC, Meador gave a presentation at a special luncheon for M1s, visited a FMIG meeting, participated in the FMIG’s Recruitment Fair, and hosted a luncheon with guest speaker John Dowdy of the Mississippi Bureau of Narcotics. At WCUCOM, Meador hosted a luncheon for students and exhibited at the school’s Hospital Day and Residency Fair.

Medical students make up 37% of MAFP’s total members (435 as of April 30).

Benefits of student membership include receiving FutureDox, a quarterly newsletter, an invitation to the Foundation’s Spring Fling focusing on residents and students, and opportunities for leadership and scholarships.

Dr. Dustin Gentry of Louisville spoke March 15 to a joint meeting of the Mississippi Senate Appropriations and Public Health committees. He discussed the success and the importance of funding the Mississippi Rural Physicians Scholarship Program.

Dr. Lucius M. “Luke” Lampton, FAAFP, of Magnolia, longtime member of the Mississippi State Board of Health, has contributed a chapter to America’s leading Family Medicine textbook, Conn’s Current Therapy 2018. Chapters are written by nationally recognized leaders in the field who provide their personal approaches and evidence-based clinical management options for the conditions physicians are most likely to see in their everyday practice. Dr. Lampton’s chapter was “Yellow Fever” and focused on the re-emergence of this tropical disease in modern medicine. Dr. Lampton has also served as Medical Editor of the recently published Mississippi Encyclopedia, authoring multiple entries on the history of medicine in Mississippi.

Dr. Mike Mabry retired May 1, 2018, after 40 years of caring for patients at the John C. Longest Student Health Center on the Mississippi State University campus.

“It’s hard to say goodbye to patients, but I couldn’t have more confidence in the medical care they will be receiving from the other doctors here,” said Mabry, a 1972 pre-medicine graduate from Liberty who completed his medical studies at the University of Mississippi. Dr. Mabry returned to Mississippi State during his family practice residency, working under Dr. John C. Longest, the student health center director.

Dr. Shannon Pittman of Jackson has been named chair of the Department of Family Medicine at the University of Mississippi Medical Center (UMMC). A faculty member since 2005, Pittman is professor and former vice chair of the department. Since 2007, she has served as Residency Program Director and Medical Director. Dr. Pittman is a graduate of Tougaloo College and earned her medical degree at UMMC. She completed her family medicine residency at UMMC, served as chief resident, and received the department’s highest award, the George Lally Bevill Memorial Fellowship. Dr. Pittman is an ex-officio member of the MAFP Board, the Mississippi Rural Physicians Scholarship Program Commission, and the School of Medicine Promotions Committee.

Know someone we need to recognize for an achievement? E-mail Kristen Kern at kristen@ msafp.org.

MAFP Loses Past Physician of the Year Dr. James E Calloway, Jr., 93, of Louisville, passed away on March 28, 2018. He was a beloved family physician who was honored in 1998 as Louisville Chamber of Commerce’s Man of the Year and in 2014 as the MAFP Family Physician of the Year.

A graduate of Millsaps College and the University of Tennessee Medical School, Dr. Calloway operated his practice in Louisville from 1948 until his retirement in 1998. He served in the U.S. Navy in World War II and in active duty during the Korean War. “Dr. Calloway was a blessing to so many people,” said Mrs. Peggy Crawford of Louisville, his friend for many years. “Dr. Calloway was in practice very dedicated to his church, his family, and to medicine.”

Dr. Calloway held leadership positions at local hospitals, nursing homes and medical associations. He was medical director of the Winston County Nursing Home and president of the Winston County Hospital medical staff. He was a lifetime member of the MAFP and the Southern Medical Association. He was past president of the Louisville Rotary Club. He was a member of First Methodist Church in Louisville where he taught a Bible study class for 50 years, served as administrative board chair, and served as finance chair.

He is survived by his wife of 62 years, Edwina Kirkpatrick Calloway, two sons and a daughter, 6 grandchildren, and 3 great-grandchildren. Memorials may be made to First Methodist Church of Louisville, PO Box 523, Louisville, MS 39339.

JAMES E. CALLOWAY, MD (1924-2018)

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Academy

Dr. Rahmath Unnisa Begum, FAAFP, of Meridian, has achieved the Degree of Fellow of the American Academy of Family Physicians. Dr. Begum was honored at a convocation during the Spring Conference in Jackson on April 22, and her degree was conferred by MAFP President Dr. Katie Patterson. Dr. Begum works at Meridian Medical Associates/Anderson Regional Medical Center in Meridian. She is a graduate of SVS Medical College in Telengana, India, where she also completed her internship. In America, Dr. Begum completed her family medicine residency at University Health Conway in Monroe, LA.

Executive Director’s Report January – May 2018

Academy

Beth Embry | Executive Director What a year MAFP has already had. The legislature kept us on our toes with issues on vaccines, scope, and Medicaid. Our Keep the Team message regarding expanding scope was successful in the legislature.

Your voice was heard again and again in the opioid prescribing hearings and your President, Dr. Katie Patterson testified on your behalf.

I must share an email I just received that has made my day. The AAFP Membership Department staff announced our MAFP is in the top 5 chapters for growth for this year. I want to personally thank each of you for renewing your membership.

Our staff and leadership has worked hard in the five areas of our strategic plan to make sure family medicine is Doing Well in Mississippi. I have outlined our achievements below.

ACADEMY Maintaining a sustainable association through engaged membership and leadership • Held 3 committee meetings prior to MAFP Spring Conference • Officers, board and committee members, and staff made personalized contact with outstanding dues members through text, email, postcards and calls reminding members of renewal deadline • Received 2nd highest membership retention rate of all states for 2017 • For medium size chapters in membership, MAFP received 1st place in increase in student membership percentage; 2nd place for active membership retention percentage; 2nd place for new physician retention percentage; 100% of resident membership • 2018 Online MAFP Membership Directory offered on June 6 • Offered a MAFP members-only Facebook page in May • Created and sent survey for new physicians to get ideas of how to engage them • Recognized new physicians on registration list of meetings for awareness ADVOCACY Serving as the unified voice of family physicians in Mississippi

Academy

• Applied and received Pfizer grant for MAFP advocacy efforts • MAFP sent letter to MSBML for Specific Compromise on opioid prescribing regs on January 23 • Dr. Katie Patterson testified before MS Board of Medical Licensure on the proposed opioid prescribing regulations on March 7 • Dr. Katie Patterson testified before the MS Board of Medical Licensure regarding collaboration on March 21 • MAFP rolled out “Keep the Team” message at the legislature regarding collaborative agreements • MAFP held successful Capitol Day on March 7 • Met with Dept of Health State Health Officer, Dr. Mary Currier on March 7 • Met with U.S. Senator Roger Wicker’s staff on April 2 • 2 MAFP members attended AAFP Advocacy Summit in DC and met with MS Congressmen in May WORKFORCE Expanding the family physician workforce to meet patient and community needs • Presented MAFP opportunities to NMMC Family Medicine Residents over lunch meeting on January 26 • Presented MAFP opportunities to Forrest General Family Medicine Residents over lunch meeting on January 29 • MAFP Foundation awarded 2 WCUCOM travel scholarships to attend ACOFP • MAFP Foundation applied and received two externships at UMMC • MAFP staff present at UMMC Match Day • Met with MACM to discuss strategic plans for expanding workforce • Elected 4 residents and 4 students to MAFP and Foundation Boards • Residents presented quality improvement projects at MAFP Spring Conference • Hosted William Carey medical students for testing at MAFP headquarters • Delivered 30 congratulatory packets with free registration for Annual Meeting to graduating residents at all 4 MS residencies

Advocacy

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Workforce

PROFESSIONAL DEVELOPMENT Providing education through a variety of delivery mechanisms • Sponsored 7 attendees to AAFP, ACLF and NCCL in April • Offered one day prescribing controlled substance CME in conjunction with spring fling • Revamped spring fling schedule for maximum attendance • Dr. Katie Patterson moderated Chapter Presidents Session at AAFP meeting • 217 Total Attendance at Spring Meeting; 53 physicians, 89 residents and students, 36 exhibitors, 19 family members, 15 speakers, and 5 staff.

• Press releases: Dr. Charles Ozborn, National Country Doctor of the Year; Dr. Begum, Fellow; Capitol Day PUBLIC AWARENESS Improving public awareness of the roles and position of family physicians • Bi-weekly newsletter sent to 700 people with 39% open rate • Received 40 applications from 25 different high schools for David G. Hall Scholarship with 2 winners of a total of $2,500 • Offered MAFP logo quarter zip shirts and rain jackets at spring conference • 4 Tar Wars presentations made to more than 140 medical students and 5 dentists • Over 3,400 4th and 5th graders have been reached with Tar Wars message • Press releases: Dr. Charles Ozborn, National Country Doctor of the Year; Dr. Begum, Fellow; Capitol Day • Awarded Dr. Robert Smith with the 2018 MAFP Humanitarian Award • Awarded Dr. Ed Hill with Hill Conference Room at MAFP Headquarters • Lunch and learn tobacco cessation presentations made to 59 residents, faculty, and staff • Exhibited at MS State Medical Association meeting • Exhibited at UMMC Department of Family Medicine Update meeting • Created New Physician award to announce at MAFP Annual Meeting

Professional Development

Public Awareness

Know Your Board: Dr. Paul Pavlov He has worked for many years at Merit Health, formerly known as Biloxi Regional Medical Center, serving as Chief of Family Medicine, an Executive Committee Member, and on the Board of Directors. He is now serving on the credentials committee and as chair of the Merit Health Ethics Committee.

Active in the community, Dr. Pavlov is a member of St. Elizabeth Seton Catholic Church, and he serves as an adjuvant professor of family medicine at both UMMC and USA Medical Center.

We asked Dr. Pavlov the following questions about family medicine: What are the best reasons to return to our state as a working professional?

Great need for good physicians in our state. Patients are patients here and are

not ‘covered lives,’ and doctors are doctors, not ‘health care providers’ to their patients.

Great place to raise a family.

How did you first get involved in the MAFP and when? What has kept you involved? As best I can remember, I was a student member many years ago and remained a member. Staying involved means staying informed. This is done by attending at least one meeting a year and connecting with other members and the leadership and Beth and her staff.

What is the biggest challenge you face today in your working environment?

The burdens of bureaucracy of medicine being imposed by the government and insurance agencies. As you become enmeshed in this bureaucracy, some of the sweetness of practicing our art is lost.

WELCOME NEW MAFP MEMBERS Active Physicians

Jason Dees, DO, PC, FAAFP, New Albany Shinita Dudley, MD, Clinton Justin Duke, DO, Tupelo Marc Hellrung, MD, Pearl Sandy Lieu, MD, Ackerman William F. McArthur, MD, Hattiesburg Stephen Montgomery, MD, Pontotoc Cynthia M. Mouton, MD, Prentiss Tori H. Russell, MD, Hattiesburg Clyde Whiting, MD, Fayette

Residents

Blayne E. Beene, DO, NMMC Jason Brown, MD, EC-Healthnet Matthew Capalbo, DO, EC-Healthnet Robert L. Dickson, DO, NMMC Matthew C. Dowdy, DO, NMMC Adam M. Guntharp, DO, NMMC Hunter Harrison, DO, EC-Healthnet Benjamin Lambert, MD, NMMC Lindsey McCormick, DO, EC-Healthnet Samantha Mosley, DO, EC-Healthnet Brad A. Murray, MD, NMMC Amber W. Norris, DO, Forrest General Jenisus M. Owens, DO, EC-Healthnet Danielle M. Parker, MD, EC-Healthnet Michael S. Thompson, MD, NMMC Eric Tillotson, MD, NMMC Samuel A. Twedt, DO, NMMC

Students - UMMC Esosa Adah Taylor Allen Bernice Anderson Wisam Beauti Laura Beneke Madeline Campbell Bridget Cheng Adam Coombs Nntamaka Ezekwe Megan Fasick William Flowers Ben Giuffria Callie Grey Bonnie Hodge Meghan Johnson Meredith Jordan Raman Kaur Seth Knight Torey Krause Michael Magee Meg Mathis Regan Maxwell Haley McCool Matthew McGuire Hunter McLendon Hannah Miller Sarah Miller Brannon Morris Courtney Mullins

(January 1 to June 1, 2018) Jasmine Padgett Murti Patel Nyiua Porter George Punecky Alison Redding Mark Rushing Rachel Sharp Jake Sivils Bethany Summerford Marty Waddell Michelle Wheeler Dorothy Whitlock

Students - WCUCOM Babatune Adeyemi John Barbara Johnny Campbell Felix Chen David DaCosta Luke Fondren Marco S. Garcia Brice Guy Alexandra Livingston Lia Morales-Ramos Thu Nguyen Quinn Quebodeaux Zariad Saran Urooj Shahid Kinsley Stepka Jasmine Tetley

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Academy

Dr. Paul M. Pavlov, MD is a family physician at North Bay Family Medical Clinic in Biloxi who serves as District 1 Director for the MAFP Board of Directors. He and his wife, Theresa, live in Ocean Springs. Dr. Pavlov He has three children, Matthew, Anna and Anthony.

Dr. Pavlov earned his bachelor’s degree in philosophy and medical studies from the University of Notre Dame, then completed medical school at the University of Mississippi School of Medicine (UMMC).

He interned and did his residency in family medicine at the University of South Alabama (USA) Medical Center.

Family Medicine Takes Center Stage at Capitol

advocacy

Physicians gathered in the rotunda of the State Capitol March 7 to meet and greet members of the Mississippi Legislature and to promote the Be Well, Do Well theme.

Two dozen Mississippi family physicians, residents and medical students turned out for MAFP Capitol Day on March 3, making important contacts with state legislators.

Capitol Day began with a buffet breakfast in the Capitol Rotunda, where doctors greeted legislators who then had the opportunity to be screened for cholesterol, glucose and blood pressure from MEA Medical Clinics.

After a tour of the Capitol building, including the on-site medical clinic, attendees briefly sat in the Gallery to see the Senate at work and were formally recognized from the floor by Sen. Terry Burton of Newton.

Some physicians attended committee meetings to see debates first-hand. The

group also heard briefings on current issues from Ashley Thompson, MAFP Advocacy Director, and Eric Waskowicz of AAFP in Washington, D.C., who discussed national advocacy issues.

Mid-morning, MAFP furnished desserts and coffee to more than 75 legislators and gave them Mississippi-made coffee mugs from Peter’s Pottery. Caricature artist Ricky Nobile was on hand to draw legislators on the spot. Here, attendees had a chance to meet their local leaders, some for the first time.

Special guests spoke to MAFP during

a members-only lunch. State Sen. Chris McDaniel, who is challenging interim U.S. Senator Cindy Hyde-Smith, and state Rep. David Baria, who is challenging U.S. Senator Roger Wicker, outlined their platforms for the group. State Rep. Michael Evans and state Sen. Sally Doty, both running to represent Mississippi’s Third Congressional District this November, also campaigned. Family physicians also welcomed Dr. Mary Currier, State Health Officer, Miss. Department of Health, as a special guest during lunch.

From left, Drs. William Grantham, Tim Alford and Melissa Stephens met with Rep. Mac Huddleston.

Save the Date: Capitol Day will be held January 30, 2019

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MAFP Capitol Day brought together active physicians, residents and students to advocate for awareness of family medicine as a specialty.

Dr. Jenna Dear with medical students Haley Hobart, Ethan Collier, Sonny Hodge and Kaylie Brad- Sen. Hillman Frazier, left, with Drs. Evelyn Walker and William Grantham. shaw.

Dr. Tim Alford, left, with Rep. Jody Steverson.

Three Servings of Milk Deliver A Unique Nutrient Package The Dietary Guidelines for Americans recommends three servings of dairy products each day.*

advocacy

Rep. Ferr Smith, center, talks with Drs. Katie Patterson, left, and Sue Simmons, right.

Milk’s essential nutrients can be difficult to replace in a healthy dietary pattern.

Three 8-ounce cups provide as much of each nutrient as: PROTEIN 50% DV 4 large (50 g) hardboiled eggs CALCIUM 70% DV 38 cups of raw kale PHOSPHORUS 60% DV approx. 3 cups of cooked red kidney beans VITAMIN B12 140% DV approx.1 lb pork chops RIBOFLAVIN (B2) 100% DV 0.8 cups of whole almonds PANTOTHENIC ACID (B5) 50% DV approx. 5 cups of chopped broccoli VITAMIN A 45% DV approx.1.8 cups of fortified ready-to-eat cereal VITAMIN D 45% DV 6.5 oz of sardines (approx.15 sardines) NIACIN (B3) 35% DV approx. six large white mushrooms

*The 2015-2020 Dietary Guidelines for Americans recommends three servings of low-fat or fat-free dairy foods (milk, cheese, yogurt) for Americans 9 years and older.

Source: U.S. Department of Agriculture, Agricultural Research Service, Nutrient Data Laboratory. USDA National Nutrient Database for Standard Reference, Release 28, revised May 2016. Calculations based on low-fat milk (USDA database #01082). Some milk may be a good source of selenium and/or zinc. Other foods used: eggs (#01129), kale (#11233), kidney beans (#16031), pork chops (#10058), almonds (#12061), fortified ready-to-eat cereal (#08508), sardines (#15088), mushrooms (#11260), broccoli (#11090). ©2018 National Dairy Council® ©2018 The Dairy Alliance®

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Legislative Session A Win for Family Medicine

advocacy

Ashley Thompson | MAFP Advocacy Director The 2018 Mississippi Legislative Session came to an end on Wednesday, March 28, as both Chambers adjourned Sine Die. The MAFP Legislative Committee worked tirelessly through the 86-day session to ensure that the voice of family medicine was heard at the Capitol. Over the course of the legislative session, MAFP followed approximately 90 bills.

The success of this legislative session as it relates to family medicine is unparalleled in recent history!

We were successful in working with legislators to fight bills that dealt with weakening our state’s vaccine laws and bills that would expand the scope of practice for numerous MAFP Advocacy Director Ashley Thompson addressed physicians on Capitol Day to discuss healthcare providers. The Mississippi Rural Physicians the Academy’s legislative priorities.

Scholarship Program, Office of Mississippi Physician Workforce, and the Department of Health all received either level funding or an increase in funding.

The “Keep the Team” slogan was used The biggest bill we worked on this year was the Medicaid on buttons and printed materials with Technical Amendments Bill, SB 2836. This bill determines how the regards to collaborative agreements Division of Medicaid is able to run the Medicaid program for the next several years. Healthcare providers across the state have been with nurse practitioners. working together since 2017 to present a unified list of concerns and requests to the legislature.

Here is a brief list of the wins for medicine in the Medicaid Technical Amendments Bill: • We were successful in removing the 12-visit cap on physician • We were successful in tying the primary care physician rates visits. to Medicare and ensuring reimbursement at 100% of the Medicare rate.

• We were successful in deleting the monthly prescription limit for beneficiaries.

• We were successful in keeping the requirement that managed care companies, which oversee the care for roughly 70% of beneficiaries, reimburse at the same rate as the Legislature set the Medicaid rate.

• Managed care does have the authority and is encouraged by the legislature to explore alternative payment models. We hope physicians will work with managed care programs to fulfill this requirement and explore alternative payment models.

• There is a newly established commission on expanding managed care that will be reviewing several items over the remaining year including evaluating the managed care program as it relates to expanding coverage and making changes to the program in the future.

• We were successful in having language that allows for an annual program audit performed by the State Auditor, the PEER Committee, and/or an independent third party that has no existing contractual relationship with the division.

• We were successful in having language added that prevents managed care companies from having a different credentialing process than the Division of Medicaid.

The strongest and most respected voices at the Capitol are those of doctors across Mississippi. We hope you will continue to engage with your legislators throughout the year. Do not hesitate to contact MAFP about any questions or concerns as it relates to bills passed, issues you see with Medicaid, and/or questions legislators pose to you about your practice or healthcare in Mississippi.

Contact Ashley with questions by e-mail at ashleybthompson@ hotmail.com.

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Mississippi Family Docs Attend Washington DC, Summit

Senator Cindy Hyde-Smith, center, met with Drs. Jason Dees, left, and Brent Smith, right, on Capitol Hill.

Both doctors are leaders on the national level in AAFP. Dr. Dees heads up the AAFP’s FamMedPAC as its board chair, and Dr. Smith leads the AAFP Foundation’s Board of Trustees as its president.

On Capitol Hill, the physicians personally met with Senator Roger Wicker, Senator Cindy Hyde-Smith, Rep. Bennie Thompson and Rep. Trent Kelly.

“We were able to share the Academy priorities for several issues,” Dr. Dees said of visiting members of Congress, “including maternal mortality and issues impacting the opioid crisis.”

MAFP Advocating for Family Medicine

Monday, April 2, MAFP member physicians met with Samantha Helton (left) of U.S. Senator Roger Wicker’s Washington staff specializing in health care. They were able to discuss a wide variety of health-related issues. Meeting with Helton were: Drs. Susan Chiarito of Vicksburg, John Mitchell of Jackson and David Wheat of Clinton.

Not pictured at the meeting is Beth Embry, MAFP Executive Director.

Physician Advocates for Kids’ Checkups On March 20, before the Mississippi Legislature, Rep. Christopher Bell of Jackson presented MAFP member Dr. Timothy Quinn with House Concurrent Resolution 15, recognizing the MAFP and other organizations, and encouraging parents to take their children for annual medical check-ups. The resolution, authored by Rep. Bell with the help of Dr. Quinn, reads in part, “Therefore, be it resolved by the House of Representatives of the State of Mississippi, the Senate concurring therein, that the month of August, 2018, be recognized as ‘Take Your Child for a Medical Check-Up Month.’

Drs. Jason Dees and Brent Smith represented Mississippi during the AAFP advocacy event in Washington, DC, and visited officials on Capitol Hill.

Collaborative Agreements Changing The Mississippi State Board of Medical Licensure (MSBML) has proposed changes to the collaborative agreement regulations between physicians and nurse practitioners. Proposed changes were filed Feb. 6, and MAFP wrote a letter to the MSBML on February 26 giving our opinion on the changes. Dr. Katie Patterson, MAFP President, gave testimony to MSBML members at a March 21 hearing. She suggested changes to the board’s proposals based upon feedback MAFP received from members.

The new regulation lays out four criteria that must be met in order for collaborative agreement mileage restrictions to be waived, including: 1. Collaborative agreement must be between a primary care physician and a primary care nurse practitioner. The proposal defines primary care as family medicine, general internal medicine, mental health, women’s health and/or general pediatrics.

2. Physician must be in a ‘compatible’ practice with the nurse practitioner (same specialty, etc.).

3. Physician must utilize EMR in their practice and in the formal quality improvement program.

4. Physician must practice in the State of Mississippi for at least 20 hours a week or 80 hours a month.

The proposed regulation was “final adopted’ by the board and now must be filed with the Secretary of State’s office and reviewed by the new Occupational Licensing Review Board before final approval. the mississippi family physician

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advocacy

In late May, Mississippi was represented by two family physicians at the AAFP’s Family Medicine Advocacy Summit (FMAS) in Washington, D.C. Drs. Jason Dees of New Albany and Brent Smith of Cleveland attended the annual summit along with hundreds of other family physicians and medical students. The four-day event focused on promoting family medicine to elected officials, in addition to political action committee meetings, advocacy committee meetings and Capitol Hill visits.

“Advocacy for our patients has never been more important,” Dr. Dees said. “Just like keeping up with the latest medical knowledge, keeping up with the goings-on in Washington must be part of our routine.

FMAS is a great way to stay up to date on all that is going on in the AAFP advocacy arena.”

Dr. Smith added that they attended lectures on alternative payment models, healthcare coverage and more. He also learned about AAFP’s latest legislative priorities from AAFP advocacy staff before meeting with Congressional members.

Extended: Special Offer from the ABFM The ABFM invites board-certified family physicians to enroll in PRIME Registry™ free for the first three years!

advocacy

PRIME Registry is a practice and population data tool developed by the ABFM that safely extracts patient data* from your electronic health records (EHRs) and turns it into actionable measures, presented in an easy-to-use, personalized dashboard, maintaining its full confidentiality. PRIME not only simplifies quality reporting for payment programs such as MIPS and CPC+, but also allows you to better evaluate aspects of your practice, patient groups, and individual patients, illuminating gaps or successes in patient care.

Another bonus for ABFM Diplomates: the integrated Performance Improvement (PI) activity tool allows Diplomates to easily use EHR data to complete PI activities and earn points toward the ABFM continuous certification requirements.

Coming this summer, PRIME will add social determinant and community resource data, showing clusters of disease, poor outcomes, and community resources for patients and clinics via the new Population Health Assessment Engine (PHATE ™).

By enrolling in PRIME now, you will secure free MIPS reporting through PRIME in 2019, and you will be able to take advantage of all the features PRIME has to offer.

Ready to get started? Enroll at primeregistry.org. Have questions? Email prime@theabfm.org or call 877-223-7437. * All registry data are maintained in compliance with HIPAA, subject to a Business Associates Agreement, but the ABFM has gone farther to protect your data. The registry vendor has no rights to use identified data without your permission, and the ABFM purposefully cannot touch patient data except for research purposes and after Institutional Review Board approval.

Webinar Series: Prime Registry Dashboard Demonstration In this PRIME Registry demo, attendees will learn how practice EHR data are turned into actionable clinical quality measures through the PRIME Registry on-boarding process, and how automated reporting reduces and streamlines effort for a wide variety of reporting and performance improvement needs. Attendees will also view a demonstration of the PRIME Registry dashboard and see how to target opportunities for improvement at the patient, clinician, and practice level (and across multiple sites of a single practice). This interactive webinar is led by PRIME Registry Recruiting Coordinator Alison Morris and the PRIME Registry technical team. Those interested will only need to attend one of the webinars.

Register for the Wednesday July 18, 2018 12:30-1:30 pm (EST) webinar here: https://attendee.gotowebinar.com/rt/2460941606450379521

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New Opioid Prescribing Rules Part 2640 that prohibits any patient in the State of Mississippi from getting pain pills (opioids) for a legitimate medical and/or surgical reason.”

It is permissible to use Methadone in a Registered Pain Management Practice or when resulting from a referral to a Certified Pain Specialist. Also, if Methadone is prescribed to treat chronic pain, it must be prescribed only by a physician.

Dr. Randy Easterling, serving as a MSBML member until July 1, spoke to attendees at the MAFP Spring Conference about what physicians can expect.

“If you hear nothing else, hear this,” he said. “There is nothing in the revision of

V isit www.msafp.org and look for our Opioid Prescribing Information page for more information.

What’s Your Specialty?

advocacy

Proposed new opioid prescribing regulations were “final adopted” on March 21 by the Mississippi State Board of Medical Licensure (MSBML), and as of May 30, the rules were pending approval of the Occupational Licensing Review Commission before implementation.

The new rules are the result of the July 2017 report from the Mississippi Governor’s Task Force on Opioids and the MSBML’s attempt to codify the task force’s recommendations into enforceable rules.

Since the proposals would affect a family physician’s daily practice in many ways, for months MAFP responded to the proposals in writing and with in-person testimony before the board.

The proposal requires a licensed physician to utilize the Mississippi Prescription Monitoring Program when prescribing controlled substances, except for certain named drugs prescribed to patients under the age of 16. Licensees must also continue to check the MPMP every 3 months thereafter, and confirmation that the patient is using the prescription medicine must be checked using point of service drug testing at least 3 times per year. Each time the MPMP is checked, it must be noted in the patient’s chart.

The proposal also sets out that 90 mg of morphine equivalence is the maximum opioid dosage that may be prescribed per day, and that if any patient requires greater than 100 mg per day, the physician must refer the patient to a pain specialist. Length of a prescription is also addressed, with a 10-day maximum allowed for non-cancer/ non-terminal pain.

Benzodiazepine prescriptions must be limited to a 1-month supply with no more than 2 refills, or a 90-day supply with no refills. The proposal lays out that it is a relative contraindication (Black Box Warning) to prescribe opioids and benzodiazepines concurrently on a longterm basis, and basically only when an acute injury occurs and for a short time.

Methadone is prohibited to treat acute non-cancerous or non-terminal pain.

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Future Docs Attend Spring Fling

workforce

Approximately 89 medical students and family medicine residents registered for activities at the MAFP Spring Fling held April 21 in Jackson. The event is growing, represented by an increase of 33% over last year’s attendance.

The annual event is sponsored by the MAFP Foundation and is free of charge to students and residents. The main purposes of the event were to provide a great education opportunity and enable residents and students to network with exhibitors and practicing family physicians.

Students and residents attended a day of informative sessions at the Jackson Marriott.

Attendees also had the chance to meet

exhibitors. Each year, MAFP and the Office of Mississippi Physician Workforce jointly host the Rural Opportunities for Medical Professionals (ROMP) Career Fair during the Spring Fling. This year’s fair featured 21 booths with such varied exhibitors as rural hospitals and pharmaceuticals. The career fair is specifically targeted at medical students and residents to give them a chance to mingle with others in the profession and meet potential employers.

As the event was held in connection with the Spring Conference for active physicians, there were two different sets of events on Saturday. The resident track included: • Financial Planning – by Dr. Joel Greenwald of St. Louis Park, MN • Mississippi Board of Medical Licensure Opioid Regulation Update – by Dr. Randy Easterling of Vicksburg • Things a New Physician Should Know – Panel speakers included Drs. Lakeisha Chism of Verona, Anna Marie HaileySharp of Preston and Justin L. Smith of New Albany • Contracts and Negotiation – by Dr. Ed Hill of Oxford • Procedural Workshops on contraceptive injections and manipulation techniques The student track included: • Mastering the Residency Match – Panel speakers included Craig Bullock, Leah Burch and Will Casey of UMMC and

William Carey University students John and Brian Barbara talk with exhibitor Wayne Miley at the Mississippi Primary Healthcare Association.

Dr. Brock Banks of Forrest General Family Medicine • Financial Planning – by Dr. Joel Greenwald of St. Louis Park, MN • MAFP Student Involvement – Panel speakers included Craig Bullock, Will Casey and Caleb Zumbro of UMMC • Manipulation Techniques – Dr. Janet Ricks of Jackson • Mythbusters: Dispelling the Myths About Family Medicine – by Dr. English Gonzalez of Birmingham, AL The event ended with a crawfish boil on Saturday night. There was great food, music, and a cornhole tournament that added to the fun. During the evening event, results of the students’ and residents’ elections were announced.

From left, WCUCOM students Lia Morales, David DaCosta, Jasmine Tetley, Zariad Saran, Rubana Khan, and Marco Garcia learn from Dr. Janet Ricks, center.

Almost 90 students from Mississippi’s two medical schools and four residency programs attended Spring Fling this year.

14 | the mississippi family physician

Dr. English Gonzalez, left, busted myths about family medicine in her talk to medical students.

Pictured with her are several students.

Everyone enjoyed networking at the Crawfish Boil, including, from left, Rachel Yi, Britney Williams, Dr. Wahnee Sherman, Charley Williams and Michelle Wheeler.

UMMC family medicine department physicians supervise the student externs. Pictured from left are Dr. Sheree Melton, Weston Eldridge, Dr. Thais Tonore, Wisam Beauti, and Dr. David Norris.

Two Student Externships at UMMC Funded Drs. Stephen Coleman, left, and Brock Banks practice what they learned at the contraceptive implant procedural workshop.

William Carey University students Kinsley Stepka, Terra Cody, Thu Nguyen, and Urooj Shahid during a break. the mississippi family physician

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workforce

UMMC medical students posed for a group picture.

The MAFP Foundation has funded two family medicine student externships this summer in the University of Mississippi Family Medicine department, marking the first time multiple externships have been offered. MAFP Foundation provides half of the funds for the externships, and the remainder is funded by a grant from the AAFP Foundation.

Weston Eldridge (M2) of Jackson and Wisam Beauti (M2) of Hattiesburg are the recipients of the externships, which foster a one-on-one clinic experience between medical students and family physician mentors. They will work under the tutelage of Drs. Sheree Melton, David Norris, and Thais Tonore in the UMMC Family Medicine department.

The goal of the externship program is to stimulate interest among medical students to select a career in family medicine. The externs will work for 8 weeks this summer and receive a $2,500 stipend. Generally, those who have completed the M1 year are chosen.

For more information about applying for an externship, contact Kay-Lynn Meador at kaylynn@msafp.org.

POPULATION HEALTH: Making the Invisible, Visible

workforce

Evelyn Cayson, BSN, RN | Aledade

When a patient enters your clinic, you undoubtedly take the best possible care of them. Your front office clerk likely welcomes them with a smile, followed by a compassionate nurse that triages and rooms the patient. You, the physician, then enters the room and address your patient’s needs. But what happens after the patient checks out and leaves your office?

Population Health addresses this question. How can you take care of patients when they are not physically in your office, sitting in front of you? How do you care for the patient who went to the emergency department last week for swelling and shortness of breath? How do you care for the patient who was just discharged home from the hospital after a COPD exacerbation?

How do you care for your “flock” (all of your patients) not only when they’re in your office, but when they’re at home?

Starting in 2015, Aledade began working with the Mississippi Academy of Family Physicians to bring together a group of like-minded independent physicians to start transforming health care in our state.

By implementing these Population Health approaches to care in our Aledade MS/TN ACO, we’ve seen great results, such as: an increase in primary care services by 30.75%, decreased hospital readmissions by 5.25%, and a decrease in emergency department visits that led to hospitalizations by 8.16%.

All of these things help improve the health of your patients while helping your practice see the value of population health management.

“There are still ways to work locally to find out what’s happening to your patients outside of your practice’s four walls.”

Annual Wellness Visits (AWV): An Annual Wellness Visit is a great way to touch base with your patients at minimum, annually, to ensure they have the best chance at staying healthy and home. This visit gives you the opportunity to address most of their preventative needs, including cancer screenings, immunizations, falls risk, and depression risk.

Someone in your office should call the patient to schedule this visit, not simply “adding the visit on to an already scheduled

appointment.” Someone should call this patient, mail them a postcard reminder (maybe on their birthday) to let them know you care about their wellness and would like to see them in the office. While it’s certainly fine to add on an AWV to a normally scheduled appointment, those are the patients who are already coming in to see you! Population Health is thinking more about those patients who don’t come in often. Drive the focus to those patients who are out seeking care elsewhere (the emergency department, for example).

Emergency Department Follow Up. Did your patient recently visit the Emergency department? Do you know about the visit?

If you’re thinking about the best way to care for all of your patients, you first have to know when they seek care elsewhere.

Do you have a good relationship with your local hospital/emergency department?

Could you request they alert you via fax or daily phone call when your patient arrives for care? Did you know that two large hospital systems in our state have portals (www.ummchealth.com and www.baptistonline.org) on which you, the provider and staff, can create accounts for, and be notified, when your patients check into their hospital system? continued on page 30

More Than Medicine, I Chose Family Medicine On Match Day in March, 15 University of Mississippi School of Medicine graduating students chose family medicine residencies, and 25 of William Carey University College of Osteopathic Medicine graduating medical students did the same -- that’s more than 10% of UMMC’s 133 graduates and more than 30% of WCUCOM’s 80+ graduates.

One of MAFP’s goals is expanding the family physician workforce to meet patient and community needs. Many graduates will stay in Mississippi to train, and we hope the others will return to Mississippi after their training. Additionally, many students from other medical schools will be joining Mississippi family medicine residency programs.

Nationally, 3,535 medical students and graduates matched to family medicine residency programs, the most in family medicine’s history as a specialty, and according to AAFP, the 9th year in a row that number

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UMMC graduate Dr. Craig Bullock with his wife, Kiersten and son Callen. Bullock matched to UMMC Family Medicine Residency.

UMMC graduates Drs. Justin Dyer, left, matched to Forrest General Family Medicine Residency and Leah Burch, right, matched to University of Alabama Huntsville Family Medicine Residency.

has increased.

A total of 37,103 applicants applied for 33,167 positions, according to the National Resident Matching Program, and 96% of them were filled. Family medicine residen-

cies filled 97% of their available slots.

Mississippi has two medical schools and four family medicine residency programs.

Following are the new residents for each of the four Mississippi programs.

Welcome to Our Family

Mississippi’s four family medicine residency programs welcomed 30 new post-graduates to their programs this fall, including:

EC Healthnet, Meridian Andalib Danandeh, MD, from University of Mississippi School of Medicine Claire Harper, MD, from Trinity School of Medicine Daniel Khakshooy, MD, from Ross University School of Medicine Brody Leblanc, DO, from William Carey University College of Osteopathic Medicine Dennis Matthews, MD, from American University of Antigua College of Medicine Ronnie Naramore, DO, from Alabama College of Osteopathic Medicine Forrest General Family Medicine Residency, Hattiesburg Justin Dyer, MD, of Roxie, from University of Mississippi Medical Center Ross Ganucheau, MD, of Slidell, LA, from Louisiana State University School of Medicine in New Orleans James Presgraves, MD, of Magee, from University of Mississippi Medical Center Michael Vanderloo, DO, of Hattiesburg, from William Carey University College of Osteopathic Medicine Amber Williamson-Norris, DO, of Tupelo, from William Carey University College of Osteopathic Medicine Rachel Yi, MD, of Jackson, from University of Mississippi Medical Center

University of Mississippi Medical Center Family Medicine Residency, Jackson Danish Ather, MD, of Douglasville, GA, from American University of Integrative Sciences Parth Bhavsar, M.B.B.S., of Borsad, India, from Smt. N.H.L. Municipal Medical College James “Craig” Bullock, MD, of Tupelo, MS, from University of Mississippi School of Medicine Catherine Chokuba, MD, of Brentwood, TN, from University of Medicine and Health Sciences Maria Hussain, MD, of Alberta, Canada, from Windsor University School of Medicine Robert Kidnie, MD, of Toronto, Canada, from Trinity School of Medicine Sarah Munsch, DO, of Flint, MI, from William Carey University College of Osteopathic Medicine Mitul Patel, MD, of Memphis, TN, from University of Mississippi School of Medicine Kshama Vyas, MD, of Kaligam, India, from Windsor University School of Medicine Eric Woods, DO, of Flowood, MS, from William Carey University College of Osteopathic Medicine

Harper

Khakshooy

Leblanc

Matthews

Naramore

Dyer

Ganucheau

Presgraves

Vanderloo

Williamson-Norris

Yi

Beene

Dickson

Dowdy

Guntharp

Lambert

Murray

Thompson

Twedt

Ather

Bhavsar

Bullock

Chokuba

Hussain

Kidnie

Munsch

Patel

Vyas

Woods

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workforce

North Mississippi Medical Center Family Medicine Residency, Tupelo Blayne Beene, DO, of Marianna, AR, from William Carey University College of Osteopathic Medicine Robert Dickson, DO, of Florence, AL, from Lincoln Memorial University DeBusk College of Osteopathic Medicine Matthew Dowdy, DO, of Southaven, MS, from William Carey University College of Osteopathic Medicine Adam Guntharp, DO, Pontotoc, MS, from William Carey University College of Osteopathic Medicine Benjamin Lambert, MD, Como, MS, from University of Mississippi Medical Center Brad Murray, MD, of Burnsville, MS, from University of Mississippi Medical Center Michael Thompson, MD, Booneville, MS, from University of Mississippi Medical Center Samuel Twedt, DO, from Biloxi, MS, from William Carey University College of Osteopathic Medicine

Danandeh

workforce

Residents, Students Elect Board Reps Student and resident board members for the MAFP and MAFP Foundation Boards were recently elected by their peers at the Spring Fling Conference April 21.

Candidates submitted a letter of interest, current CV and photo to apply. At the Spring Fling conference, each candidate gave a speech and participated in campaigning. Votes were cast by MAFP students for student representatives and residents for resident representatives. The newly elected board members for the 2018-2019 term are listed below. These students and residents will have an orientation at the MAFP office and will participate in an induction ceremony for MAFP or MAFP Foundation Board during the Annual Meeting in Sandestin, FL, this year.

Resident board members are: Jessica Douglas, MD (UMMC – PGY3); Sarah Hudson, DO (FGH – PGY-2); Lindsey McCormick, DO (EC Healthnet – PGY-3); and Stephen Morgan, MD (NMMC – PGY-2).

Drs. McCormick and Morgan will serve on the MAFP Board while Drs. Douglas and Hudson will serve on MAFP Foundation Board.

Student board members are: Will Casey (UMMC – M4), Falan McKnight (UMMC – M4), Adam Purvis (WCUCOM – M4); and Anita Santpurkar (WCUCOM – M4).

Casey and Purvis will serve on the MAFP

Elected to serve on MAFP boards for 2018-19 are, back row, UMMC student Falan McKnight, UMMC student Will Casey, WCUCOM student Anita Santpurkar, and WCUCOM student Adam Purvis. Front row, EC-Healthnet resident Dr. Lindsey McCormick, NMMC resident Dr. Stephen Morgan, UMMC resident Dr. Jessica Douglas, and Forrest General resident Dr. Sarah Hudson.

Board, and McKnight and Santpurkar will serve on MAFP Foundation Board.

These board members will represent student and resident membership throughout the state. Board elections are held each April, and the term of service is July - June.

Candidates must meet the following criteria to be eligible to run for a board position: – A member of the AAFP / MAFP

– A 2nd or 3rd year medical student in good standing at a medical school, or – A resident in good standing at a Mississippi family medicine residency program.

For more information about applying to be a resident or student board member, contact Kay-Lynn Meador at kaylynn@ msafp.org.

Cody, Santpurkar represent Mississippi at Osteopathic Conference With scholarships from the MAFP Foundation, two William Carey University College of Osteopathic Medicine students attended the American College of Osteopathic Family Physicians annual convention this past March in Austin, TX. Each scholarship recipient is awarded up to $1,000 in reimbursements for registration, meals, and travel expenses to the event’s location.

Anita Santpurkar, a 4th year WCUCOM student, stated she enjoyed learning about specialization. “I learned about the different routes one can go with the family medicine

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residency, including sports medicine, OBGYN and pediatrics,” she said. “I learned how inclusive family medicine is, and how many different options I have.”

Terra Cody, a 4th year student at WCUCOM, shared that her favorite presentation was one on rural medicine. “Dr. Jacob Curtis gave an amazing talk on his personal life as a rural family doctor along with the expectations to have as a rural doctor,” Cody said.

“Wanting to be a rural physician myself, I found this one the most intriguing and helpful.”

Terra Cody, left, and Anita Santpurkar at the ACOFP in Austin, TX. Both are students at William Carey University COM.

Physicians Represent You at ACLF/NCCL

Drs. Ned Miller, Jonathan Buchanan and Tobe Momah.

Drs. David Wheat, Jonathan Buchanan, Katie Patterson, Ned Miller and Chrystal Sumrall.

Drs. David Wheat, MAFP President-Elect, and Katie Patterson, President.

• Dr. Jonathan Buchanan, a physician at Baptist Medical Center Leake in Carthage and a recent UMMC Family Residency Program graduate, represented minority physicians.

• Dr. Ned Miller, a physician at West Point Medical Clinic and a recent

NMMC Family Residency Program graduate, represented new physicians (in the first seven years of practice following residency).

• Dr. Tobe Momah, a physician at UMMC in Jackson, represented international medical school graduates.

• Dr. Chrystal Sumrall, a physician at Laurel Family Medicine and Immediate Care, represented women physicians.

“As a young physician beginning practice,” Dr. Buchanan said, “it was great to be introduced to family physicians from varying backgrounds and areas of the country who are together with the sole purpose of advancing the cause and specialty of family medicine by showing the AAFP what’s important to each of us in our dayto-day lives.”

Dr. Momah agreed. “Meeting leaders like the AAFP foundation chair and past presidents was awesome,” he said, “but discussing issues with peers, and the talk from the CMS representative on payment reform and quality metrics was very informative and eye-opening.”

Interested in representing MAFP in the future at NCCL? Notify Beth Embry at beth@ msafp.org. ACLF/NCCL will be held April 25-27, 2019, in Kansas City, MO. the mississippi family physician

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professional development

MAFP officers and Beth Embry, Executive Director, attended two AAFP conferences held in Kansas City in April to learn, network, and improve their leadership skills.

MAFP President Dr. Katie Patterson of Indianola and Vice President Dr. David Wheat of Clinton attended the AAFP Annual Chapter Leader Forum (ACLF), the leadership development program for chapter-elected leaders, aspiring chapter leaders, and chapter staff. Among other roles, ACLF functions as an orientation for emerging leaders who serve on chapter boards, as well as professional development for new and seasoned chapter staff.

Dr. Patterson led a session of state chapter presidents during the event. “The event in Kansas City taught me about my leadership style and the best way to utilize it as president of the MAFP,” she said. “I also made and cemented relationships with other family physician leaders all over the country.”

“I was very proud that our Academy received 4 awards for membership,” Dr. Wheat said. “My biggest attention was placed on government advocacy and lobbying techniques. The meeting was excellent with nationally-known speakers.”

Four MAFP member physicians represented Mississippi April 26-28 at the American Academy of Family Physicians National Conference of Constituency Leaders (NCCL). They participated in caucuses and hearings within their constituency, took part in educational breakout sessions, and networked with family physicians from around the nation.

Each of the four physicians represented an under-represented part of the AAFP membership:

professional development

Spring Conference Sees Att Active physicians attending this year’s MAFP Spring Conference in Jackson saw a varied lineup of speakers, networked with students and residents, and enjoyed seeing old friends.

About 217 people attended the MAFP Spring Conference in Jackson April 2022, with a breakdown of 53 physicians, 89 residents and students, 19 family members, 36 exhibitors, 5 staff and 15 speakers. The physician attendance represents a 15% increase over 2017 attendance, and a 33% resident and student increase over 2017.

On Friday night, registrants participated in dine-arounds and saw the New Stage Theatre play “Shakespeare in Love.”

MAFP President Dr. Katie Patterson of Indianola called the conference to order on Saturday morning and started a day of continuing education, visiting with 21 exhibitors at the ROMP Career Fair and meeting residents and students who aspire to be physicians. Education sessions included those on hypoglycemia, obesity, and financial planning.

At lunchtime, a special joint session was convened for the presentation of awards.

Dr. Robert Smith of Jackson was presented with the MAFP Humanitarian Award, and Dr. Ed Hill of Oxford was honored with the MAFP Conference Room being named for him.

Saturday afternoon featured procedural workshops on contraceptive injections

Enjoying the crawfish boil were, back row, Dr. Bill and Linda Jackson, Jean and Dr. Ed Hill. Front row, Dolores and Dr. William Arnett, and Dr. Bill Jones.

and a session on manipulation techniques

by MAFP member Dr. Janet Ricks.

The group convened at The Lake House on the Ross Barnett Reservoir for a crawfish boil catered by MAFP member physician Dr. Bradley Suggs of Flowood.

This event was perfect for networking with the medical students and family medicine residents in attendance.

Many thanks to Aledade for sponsoring the Saturday luncheon and Blue Cross Blue Shield for sponsoring the Saturday crawfish boil.

Sunday, with the residents’ and students’ event over, the focus of each session was on

Jean Hill, Linda Jackson and B.T. Bogran visited the Mississippi Two Museums as part of the Spring Conference.

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information for active physicians, with an emphasis on opioid prescribing guidelines.

Drs. Anthony Cloy and Ann Kemp, MAFP members, were presenters on that topic, while other speakers discussed type 2 diabetes and chronic urticaria.

ext year’s Spring N Conference will be held in April 2019 in Jackson.

At Sunday’s CME session, Drs. Tom Fenter, Katie Patterson, Ann Kemp and Anthony Cloy.

tendance Spike professional development

Drs. Brent Smith, Justin Smith and Curtis Glidewell at the crawfish boil.

Drs. Joel Greenwald, Susan Chiarito, John Mitchell and Katie Patterson at the Spring Conference crawfish boil.

Physicians and their families enjoyed networking at the crawfish boil, including Sherry Wheat, Dr. David Wheat, and Dr. James Griffin.

At a procedural workshop, Dr. Janet Ricks demonstrated some manipulation techniques on Dr. James Griffin as Dr. Bill Jones looked on.

Dr. Bradley Suggs and his family stirred things up as they catered the crawfish boil. the mississippi family physician

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professional development

Physician Wellness is Essential for Patient Care Dr. Rebekah Bernard | Family Physician, Gulf Coast Direct Primary Care, Fort Myers, FL Practicing medicine in our current health care system is making physicians sick, with levels of burnout and mental strain increasing across every specialty. Burnout has become so bad that physicians are increasingly leaving the workforce, with the 2016 Physicians Foundation Report showing that 49% of doctors were actively making plans to decrease patient care either by entering early retirement, changing to a nonclinical role, or switching to a lower volume conciergetype practice.”i And even more sadly, about 400 physicians per year stop seeing patients for the most tragic of cause: because they take their own lives.

The good news is that there are steps that physicians can take to improve our well-being so that we can continue to care for our patients.

1. Start by taking care of yourself.

News flash: Doctors, like everyone else, are human. The problem is that after years of sacrifice and delayed gratification during medical training, physicians often start to develop a delusional sense of indispensability and martyrdom. We expect ourselves to somehow be able to survive on less sleep, handle more stress, and work more hours than everyone else. And since physicians tend to be highly motivated, intelligent, and resilient, we can get away with burning the candle at both ends for a very long time. But unfortunately, at some point, we just can’t keep up. And when this happens, we are devastated with our own failure.

If we want to do the right thing for our patients, we must change this attitude and prioritize our own essential needs – sleep, a healthy diet, exercise, family time, and recreation. Taking care of ourselves isn’t selfish. It is good. It is necessary, and it is vital for our very survival.

2.Learn how to say ‘no’ to things that don’t bring you value.

It’s tough to say ‘no’ when we feel so darn needed by everyone, but if we don’t learn to take control, eventually there won’t be anything left to give. We must practice setting boundaries and sticking to them, and

22 | the mississippi family physician

that means only saying ‘yes’ to activities that are in line with our future goals.

We often hesitate to say ‘no’ because of fear – we are afraid we will disappoint someone, afraid of missing out, or we fear being seen as inadequate or incapable.

Identifying these emotions and realistically thinking them through can be helpful.

Before you say yes, understand your motivations for doing so. Will joining this committee be a jump start to a job you want higher up in the organization? Or is it just a token position that doesn’t provide any value to your life?

Keep in mind that ‘no’ is a complete sentence. Avoid lengthy explanations that

can result in you (or someone else) talking you into doing something that you don’t want to do.

3.Talk it out.

The simple act of talking with others about emotions and stressors can have a positive impact on physician wellness.ii Get together once or twice a month with a friend or colleague for coffee or a meal – put it on your calendar and make it a priority.

When talking to a friend isn’t enough, consider talking with a professional, like a psychologist – someone who can help you think through your emotions and help you to clarify your decisions.

I strongly believe that every physician should have a personal psychologist – here’s why: People who really need to see a psychologist usually won’t go. They don’t think they have a problem. That’s why the

rest of us have to – so that we can learn to interact more effectively with difficult people in our lives, a challenging patient, a difficult boss, or a churlish coworker.

4.Get efficient.

It’s easy to get bogged down by a clunky electronic health record or a disorganized check-in system. Whenever you can, create your own work-arounds by making templates, forms, and handouts. Keep coding cheat-sheets and reference materials at your fingertips and streamline your processes. Force yourself to complete your notes in “real time” so you aren’t spending hours of pajama time reconstructing the medical record. None of these things are easy but putting in the effort will pay off.

You can find more tips about office efficiency in my book “How to Be a Rock Star Doctor.”

5.Take back control of your life.

Sometimes doctors feel completely trapped – perhaps by medical school debt, a no-compete contract, or a large mortgage.

But the reality is that even when the choices don’t look great, we still do have choices. We can continue to work in our current system, using psychology to learn strategies to work around the challenges. Or we can decide to make a complete change by switching to a different job, working Locum tenens, or even stepping outside of the system completely by transitioning to a direct care practice. It’s your one and only life - you get to choose how you want to live it. And hopefully by taking control, you will find the path back towards those who really need you – your patients. i http://www.physiciansfoundation.org/uploads/ default/Biennial_Physician_Survey_2016.pdf ii https://www.mayoclinicproceedings.org/article/ S0025-6196(16)30625-5/pdf

We are excited to have Dr. Bernard present at the MAFP Annual Meeting in July on these 3 topics: 1. Taking Back Control: Alternatives to Traditional Practice 2. How to Recognize Physician Burnout and Improve Wellness 3. How to Be a Rock Star Doctor

Family Medicine - Stronger Than Ever MAFP 69th Annual Scientific Assembly July 21-25, 2018 Baytowne Conference Center, Sandestin, FL SCHEDULE SATURDAY, JULY 21 1 pm KSA Group Learning Session on Women’s Health 6 pm MAFP Board Meeting SUNDAY, JULY 22 8 am CME Sessions 5 pm Foundation Board Mtg. 6 pm Family Fun Night MONDAY, JULY 23 6:45 am Sunrise Devo�on 7 am Yoga 7 am Physician Marketplace Opens 8 am CME Sessions 8 am Jolee Island Getaway 9 am Shard Art for Adults 2 pm Golf Tournament 5 pm Academy Amazing Race TUESDAY, JULY 24 6:45 am Sunrise Devo�on 7 am Yoga 8 am CME Sessions 12 noon MAFP Business Mtg. 2 pm MAFP Charter Fishing Trip 3 pm MAFP Marina Bay Day 6 pm MAFP Foundation Silent Auction and Draw Down 6 pm Kids Night Out 7:30 pm MAFP Annual Dinner WEDNESDAY, JULY 25 6:45 am Sunrise Devo�on 7 am Yoga 7 am MAFP Board Meeting 8 am CME Sessions 9 am Kids Loot and Scoot 12:45 pm Adjournment and Giveaways

TOPICS

How to Be Well, Do Well l Caring for Your Flock: Population Health in an ACO l Percutaneous Therapies for Structural Heart Disease l Making the Connection: A Call to Action Against Undiagnosed Atrial Fibrillation Improving Detection, Reducing Risk l Elevate: Your Gender-Affirming Healthcare Environment for Optimal HIV Care l Musculoskeletal Imaging for the Referring Provider ∞ Things I Wish I Knew Last Year l Pathophysiology of Chronic Venous Insufficiency – Clinical Manifestations and the Treatment l Improving the Diagnosis and Treatment of Lupus: Practical Guidance for the Primary Care Physician l Performance Improvement l New Drug Update Part 1 and Part 2 l Reproductive Health Care: Conversations for Family Physicians and Their Patients

KNOWLEDGE SELF-ASSESSMENT Women’s Health – moderated by Drs. Jennifer Gholson and Katie Patterson

Family Fun

maFP EvEnts

Jolee Island Getaway

Energy Zone Family Fun Night

Academy Amazing Race Marina Bay Day Kids Night Out Kids Loot and Scoot Beach Portraits

Sunrise Devotionals Yoga Spouse Bingo President’s Reception, Draw Down and Dinner

Shard Art for Adults Golf Tournament

MORE INFO:

Charter Fishing Trip

www.msafp.org

public awareness

Dr. Ozborn Honored as Country Doctor of the Year “My job is so enjoyable, it’s not work.”

That attitude from Dr. Charles Ozborn of Eupora, plus 54 years of service to his community, led him to be named Country Doctor of the Year in February by Staff Care, which is part of Dallas-based AMN Healthcare.

“I have a real passion for medicine,” the family physician said. “[The award] is a nice honor, but the honor of being able to practice medicine is greater.”

A family physician for 53 years, Dr. Ozborn has practiced in Eupora for all but 2 of those years. At 78 years old, he has no plans to retire and says he will continue to serve his patients in Webster County.

He sees patients at Eupora Medical Clinic, which is owned by Tupelo-based North Mississippi Medical Center. Dr. Ozborn works four days a week and says he still does rounds at the hospital each morning at 5 am.

“I’m purely the country doc that had a real passion for staying in the country and never wanted to leave and go somewhere else,” he said.

As a kid in Union, MS, Dr. Ozborn said he finished high school at age 15 and the only college he had ever visited was Millsaps College, so he chose to continue his education there. He had trouble academically his first semester at Millsaps because he had to work full-time to afford college, but after getting an on-campus job, he was able to pull his grades up and continue.

He credits the administration and a Millsaps house mother for helping a smart teenager to succeed. “I had a lot of angels in my life,” Dr. Ozborn said. “I thought it was God’s will that I be a doctor.”

After completing Millsaps College and then medical school at UMMC, Dr. Ozborn said a physician from Eupora took the top 10 people from the UMMC class on as interns, and the rest is history. He moved to Eupora in 1965 to begin working. He would have never left, but he ended up getting extensive experience elsewhere, courtesy of the U.S. military.

Dr. Ozborn was drafted in 1967, and he spent his time in the U.S. Public Health Service Commissioned Corps, which gave him valuable experience. The Health Service sent him to Claremore, OK, which has a large Native American population, where

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Dr. Charles Ozborn

the cutting edge of medicine,” Dr. Ozborn said. “Things were so primitive. We have gone from having nothing to work with to having everything.”

Dr. Ozborn said one of his nurses secretly nominated him for the award. Once he was named a finalist, Staff Care personnel came to Eupora and shadowed him for a day. After that, he was notified he had been chosen as the winner.

“Dr. Ozborn is more than an outstanding primary care physician,” said Jeff Decker, president of Staff Care, the organization that has given the national award every year since 1992 to physicians practicing in communities with populations of 30,000 or less. “He is one of the pillars on which his community stands. The people, the health system, and the economy of his region simply could not do without him.”

At a ceremony in his honor on March 2 at Eupora’s First Baptist Church, the award was formally presented to Dr. Ozborn and a slide show was shown. As part of the

he saw up to 100 patients each day. Then he worked in Philadelphia, MS, at what is now called the Choctaw Health Center, while continuing to travel to Oklahoma three times a year to see patients who needed care.

After his service, Dr. Ozborn returned to Eupora. He said he bought everything in a defunct medical clinic for $1,000 and built his own clinic. From the beginning, he did everything himself, using the old equipment he bought for as long as he possibly could.

For years, Dr. Ozborn said, he carried everything he needed in his black bag that he took everywhere. “There were so few Daniel and Dr. Christy Vowell were among those who honored Dr. medicines at that time, I had Ozborn on March 2 at a ceremony in his honor. everything in that one bag,” he said. He made house calls and drove many award, Staff Care provides two weeks of patients to the hospital in his own car. complementary locum tenens coverage or a He estimates he has delivered 4,000 charitable donation. babies over the years, with 500 at the He was also recognized by the Mississippi Choctaw Health Center alone. He described Legislature in 2018 with SCR 598, a delivering one baby in a shack with snow resolution commending and congratulating coming in through the open windows, and him on his community service and on delivering another baby in a cornfield in the winning the award.

100-degree heat.

Past Mississippi winners of the Country Then in 1989, North Mississippi Medical Doctor of the Year award are Dr. Katrina Center bought him out and built a clinic for Poe of Kilmichael (2005) and Dr. Howard him in Eupora.

Clark of Morton (2000), who are both “Being part of a hospital has kept us on MAFP members.

MAFP Dedicates Hill Conference Room The conference room at the MAFP Headquarters has been named the “Edward J. Hill, MD, FAAFP, Conference Room,” after our former president and past Family

Dr. Smith Awarded for Humanitarianism Dr. Robert Smith, MD, FAAFP, of Jackson, was awarded the MAFP Humanitarian Award for courageous leadership on April 21.

Dr. Smith was chosen by the MAFP Awards Committee and the presentation was made at the MAFP Spring Conference.

Dr. Smith, a MAFP member since 1959, was an instrumental figure during the Civil Rights movement in Mississippi, providing consistent health care to African-Americans who had little or no access. A founder of the Medical Committee for Civil Rights and

Dr. Smith has been a MAFP member since 1959.

the Committee for Human Rights in the mid-1960’s, Dr. Smith and other health care professionals aided and treated Civil Rights workers and many other Mississippians during the Freedom Summer of 1964.

Dr. Smith also co-authored, founded and implemented the concept of Federally Qualified Health Centers. He co-founded the nation’s first rural community health center, Delta Health Center in Mound Bayou, as well as the Mississippi Primary Health Care Association (MPHCA), which provides accessible and affordable primary medical care and dental care services to individuals and families.

Dr. Smith was honored in November 2017 with the American Medical Association’s Medal of Valor Award at its 2017 Interim Meeting in Honolulu, Hawaii. The Medal of Valor Award honors AMA members who demonstrate courage under extraordinary circumstances in nonwartime situations.

A native of Terry and a graduate of Tougaloo College, Dr. Smith received his medical degree from Howard Medical

Dr. Smith was recognized with the MAFP Humanitarian Award.

School and serves as president and chief executive officer of Central Mississippi Health Services, Inc. the mississippi family physician

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public awareness

Dr. Hill was recognized with his name on the MAFP Conference Room.

Physician of the Year who retired in North Mississippi Medical Center’s Family December after representing Mississippi on Medicine Residency Program in Tupelo. the national and world stage. The MAFP Dr. Hill held that position from 1995-2001 Board of Directors voted to brand the and again from 2008-2013. He remained on conference room with his name to honor the faculty from 2013-2017 before retiring him. this past December. Most notably, he served Dr. Edward J. Hill of Oxford has been a as president of the American Medical MAFP member since 1970 and is a board- Association in 2005-2006 and as chair of the certified family physician. He has contribu- World Medical Association. ted immeasurably to the knowledge base, credibility, and community of family medicine in Mississippi.

After completing Ole Miss and earning his medical degree from the University of Mississippi School of Medicine, he served in the U.S. Navy and then practiced medicine for 27 years in Hollandale.

After years in the Delta, Dr. Hill answered the call to teach new physicians, accepting the position of At the Spring Conference, Dr. Hill’s honor was announced by MAFP founding director of the President Dr. Katie Patterson.

public awareness

Mississippi Ranks Low in HPV Vaccinatio Mississippi’s teen vaccination rates are dismally low, despite the Centers for Disease Control’s recommendations that all children have the human papillomavirus (HPV) vaccine by age 11 or 12 and a second dose at least 5 months later (completing no later than age 14).

“HPV is a very common virus,” the Centers for Disease Control and Prevention’s website reports. The HPV vaccine is very important because it protects against cancers that are caused by HPV infection. About one in four people in the United States are currently infected, according to the CDC, and 14 million more people become infected each year. “Every year in the United States, HPV causes 32,500 cancers in men and women,” CDC reports. “HPV vaccination can prevent most of the cancers (about 30,000) from ever developing.”

In 2017, Mississippi received about 65,000 total doses of HPV vaccine for all adolescents, which is less than 25% of the doses needed to vaccinate the 11- and 12-year-olds in the state. Mississippi is not meeting its potential for cancer prevention.

HOW CAN YOU HELP CHANGE THINGS? Family physicians may be unaware of how influential a physician’s recommendation is when it comes to parents vaccinating their children. Studies show parents and teens who are advised by their physician to get vaccinated are TWICE as likely to do so.

Physicians, devise a plan of action for your practice! Be aware that the American Cancer Society has lots of FREE tools (posters, videos, etc) they are willing to deliver to physicians at no cost. The ACS will also work with your practice to develop a HPV plan of attack, if you need a little push. Contacts at the ACS who can help physicians with printed materials like handouts and posters: Allison Tyler at Allison.tyler@cancer.org or Chiquita Chanay at Chiquita.chinay@cancer.org.

Easy to understand videos are available on the CDC’s website which can give physicians a guideline for explaining HPV vaccine to patients and their parents.

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Drs. Sandor Feldman, Emily Landrum, and Katie Patterson hosted a special panel discussion on vaccinations.

On www.cdc.gov, search for “How I Recommend.”

Highlight on Vaccinations More than 80 physicians attended a Highlight on Vaccinations 4 Teens panel discussion in July 2017 that addressed the importance of the four CDCrecommended vaccinations for teens.

The presentation, held during the Annual

“Studies show parents and teens who are advised by their physician to get vaccinated are TWICE as likely to do so.”

Meeting, was made possible by a grant from the American Academy of Family Physicians Foundation’s Family Medicine Philanthropic Consortium with support from Sanofi Pasteur.

According to the results of the postpresentation survey, the information was something Mississippi physicians needed to hear. Eighty percent of attendees said they were not aware of the low adolescent

vaccination rates in the state, and 80% of attendees said they were more likely afterward to emphasize the need for vaccinations with their teen patients.

Three panelists – all Mississippi physicians – provided anecdotal and evidential research on how to increase vaccination rates in one’s practice. Their practical examples of conversations with parents spurred a discussion among those present about how to frame the need for vaccinations when seeing adolescents.

Panelist Dr. Sandor Feldman, infectious disease specialist and retired Professor Emeritus of Pediatrics at the University of Mississippi Medical Center, presented staggering statistics about HPV. Fully 100% of vaginal, penile and rectal cancers are caused by HPV, and greater than 90% of cervical, anal and oropharynx cancers are also caused by the virus. This emphasizes, Dr. Feldman said, the need for vaccination during the teen years, when efficacy rates are highest.

Dr. Feldman also said recall notices

on Rates; Physicians Must Take Action the patient throughout each office visit and served as a reminder to the patient and staff of the need for the influenza or pneumococcal vaccine. Staff were also coached on how to address patient vaccination concerns and overcome patient fears.

In the course of a year, more than 3,500 patients completed the Flu Vaccine Tracking sheets. The end result was positive. The clinic’s influenza vaccination rates rose from 57.5% to 69.3% in the span of one year, and the pneumococcal vaccination rate increased from 67% to 73.6%.

Panelist and self-defined “vaccination warrior” Dr. Katherine Patterson of Indianola talked anecdotally with physicians who were present, saying that she never tries to alarm patients with scary statistics about HPV. She said she firmly reminds patients

that both the CDC and she recommend that the teen be vaccinated at the recommended age. Dr. Patterson said she never hesitates to answer patient concerns with facts but tries to emphasize the routine nature of the vaccinations.

Another tool emphasized during the discussion was the AAFP’s Vaccinations 4 Teens toolkit, accessible by the MAFP’s website home page. Full of informational videos and printable materials, the online toolkit provides customizable postcards to mail out, sample social media posts, and statistics for physician education.

Sources for the above: Centers for Disease Control, Dr. Sandor Feldman, Pediatric Infection Disease Consultant with MS State Department of Health, Dr. Ronald Cossman of the Social Science Research Center at the Mississippi Center for Health Workforce, and the American Cancer Society.

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public awareness

are shown to be effective when reminding parents and teens of the need for follow-up dosages. For example, CDC recommends HPV to be given to girls and boys aged 11 and a follow-up dosage to be given at least 5 months later.

Panelist Dr. Emily Landrum, at the time, chief resident at North Mississippi Medical Center Family Medicine Residency Program in Tupelo, discussed the FMRP’s 2016-17 Senior Immunization Award which enabled them to focus on increasing influenza and pneumococcal vaccinations among their senior adult patients. Although her research was not specific to HPV, she was able to speak to the effectiveness of recall notices and other procedures.

Dr. Landrum said after first mailing out flu vaccine reminder postcards to patients age 65 and over, the FMRP team created a Flu Vaccine Tracking sheet that followed

public awareness

Dr. Williams Earns Crawford Scholarship

dr. susan frichter williams

The MAFP Foundation has awarded the 2018 Crawford Scholarship to Dr. Susan Frichter Williams, a third-year resident at North Mississippi Medical Center Family Medicine Residency Program.

“Professional development is of foremost importance,” Dr. Williams said. “I plan to commit myself to attending the Annual Meeting each year as I believe in the vision and mission of the MAFP.” Dr. Williams is a graduate of the University of New Orleans, where she graduated summa cum laude with a bachelor’s degree in biological sciences. She then received her medical degree from the University of Mississippi School of Medicine and has served as a Mississippi Rural Physician Scholar. Dr. Williams has served MAFP as an Academy Ambassador and as a Professional Development Committee

MAFP FOUNDATION DRAW DOWN SPONSORS 2018 PLATINUM MEA Medical Clinics GOLD North Sunflower Medical Center St. Dominic’s Family Medicine Eric Wegener, MD SILVER Genesis Physical Therapy Hattiesburg Clinic, Sports Medicine MEA Medical Clinics, PA Southern Diagnostic Imaging Sleep Solutions of Mississippi Shane M. Sims, MD, PA, and Edward C. Gnam III, MD, PA John Paul F. Vanderloo, MD Renasant Bank Vicksburg Moo Sul Kwan BRONZE Mississippi Physicians Care Network (MPCN) BankPlus

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member. During her time at UMMC, she served the Family Medicine Interest Group as president and vice president.

This is the second year the Crawford Scholarship has been awarded in memory of Dr. Dewitt G. Crawford. The intent of the gift is to provide scholarships for deserving residents to attend the MAFP Annual Scientific Assembly.

Qualifications for the scholarship include being a resident who best demonstrated the character qualities of leadership gained through life experience in their job, education, and/or service or volunteer opportunities and shows a commitment to future involvement as a leader with the MAFP. This scholarship is just one of several provided each year by the MAFP Foundation that promote family medicine as a specialty, and the continuing education of family physicians.

Foundation Awards Scholarships The MAFP Foundation last week awarded two scholarships to high school graduates who entered its essay contest on the topic “Family Physicians: Providing Your Medical Home.” The two winners were chosen from 35 entries from high school seniors around the state.

First-place winner is Baylee Lewis of Lena, a 2018 graduate of Leake Academy. She was awarded a $2,000 scholarship to East Central Community College, where she will attend this fall with plans to major in biology.

Savannah Pipkin of Hickory Flat, a 2018 graduate of Hickory Flat Attendance Center, won second place and a $500 scholarship to the University of Mississippi, where she will attend this fall. She plans to major in biochemistry.

This scholarship is just one of several provided each year by the MAFP Foundation that helps promote family medicine as a specialty.

baylee lewis

savannah pipkin

POPULATION HEALTH from page 18

6 WAYS

YOUR DONATION MAKES AN IMPACT

public awareness

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TAR WARS MAFPF provides materials and support to students from both medical schools in Mississippi who make TAR WARS presentations

STUDENT EXTERNSHIPS MAFPF funds two summer externships for medical students at UMMC, to foster an interest in family medicine as a specialty

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ANNUAL CONFERENCE

FAMILY MEDICINE INTEREST GROUPS

MAFPF funds scholarships for Mississippi family medicine residents to attend MAFP Annual Conference

MAFPF provides guest speakers for events and meals promoting the specialty of family medicine at UMMC and WCUCOM

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H.S. SCHOLARSHIPS MAFPF funds annual scholarships for high school seniors who are interested in pursuing a career in medicine.

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SPRING FLING MAFPF hosts the Future in Family Medicine Spring Fling each April in Jackson specifically for medical students and residents.

MISSISSIPPI ACADEMY OF FAMILY PHYSICIANS FOUNDATION - (601) 853-3302

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These are great ways to be aware of what your patient is doing when they’re not in your office! Call the patient, let them know you care about them and ask them to come in for a follow up visit so you can check in and answer any questions.

Transitions of Care After Hospital or Facility Discharge. Was your patient recently discharged from a hospital or facility? Again, did you know they were there? Even if your practice does not have access to a Health Information Exchange, there are still ways to work locally to find out what’s happening to your patients outside of your practice’s four walls. Yes, it’s a bit of a lift; however, it’s worth it when you can provide a smooth transition for your patient back into their home and help reduce preventable readmissions.

Do you round at the local hospital? If so, make sure someone in your office is aware that the patient is being discharged home. Have someone in your office call the patient within two business days to check in on them and make sure they have a follow-up appointment. Even if you miss this 2-day window required by Medicare to bill “Transitional Care Management,” it is still worth reaching out to the patient and ensure they have a follow-up appointment with you.

Maybe you have a great relationship with the hospitalist group in town? Or maybe you don’t - and this is an area you could reach out to let them know that you care about ensuring your patients have a smooth follow-up and you’d like to be alerted when your patients are discharged.

Care Management. Maybe you’ve heard about chronic care management and even implemented a program in your own clinic. Care management is a great way to have visibility into what’s going on inside the patient’s home. Care management can be the link to making patients’ needs and concerns visible to you.

To make care management most effective, we often see one person assigned to the task of care management. We see this person making frequent outreach to the patients, not just the required 20-minute interaction once per month. A care manager can follow up on Transitions of Care, they can keep track of outgoing referrals, they can call and schedule AWVs, and follow up with patients after a trip to the Emergency department. While this most frequently works best with a designated person doing this full time, we see many creative ways to implement Population Health even when a full time person isn’t feasible. Maybe the care manager works on some of these tasks during your half day in the office? Or maybe one day of the week you tend to be a bit slower seeing patients, could someone be tasked with some of this work in the down time?

Population Health is one of the key values of Aledade ACOs. We pride ourselves on working with independent providers as a physician-led ACO. We work hard to help your practice transform into a value-based care setting with visibility to technology and tools to make population health easier to implement in your office. If you’re interested in learning if an Aledade ACO may be right for your clinic, contact Nadine Robin, our local Executive Director, at nrobin@aledade.com.

Do Not Enter the Courtroom Without the Protection of MACM Regardless of merit, thousands of medical malpractice claims are filed each year. Some say it is not a question of IF you will be sued; it is a question of WHEN. Call MACM today for your professional liability needs and to join so many others who have placed their trust with a company that has been physician owned and physician governed for over 40 years.

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